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Country Club Retirement Center LLC

Assisted Living Facility in Ashtabula, OH · enumerated 2021 · authorized official Paul Adamic, Corp Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538750666

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Registry record

Entity type Organization (Type 2)
Legal business name Country Club Retirement Center LLC
Practice address 925 E 26th St, Ashtabula, OH, 44004
Phone (440) 992-0022
Enumeration date Feb 1, 2021
Last updated in NPPES Feb 1, 2021

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Paul Adamic
Title Corp Controller
Phone (330) 239-3597

Other identifiers

Identifier Type State Issuer
1794R Other OH LICENSURE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Country Club Retirement Center LLC?
The NPI for Country Club Retirement Center LLC is 1538750666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Country Club Retirement Center LLC?
NPPES lists Paul Adamic (Corp Controller) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-01.